Exh K ADA Certification.pdf
PDF 1 MB Posted
- Solicitation number
- 36C24W25R0049
- Issued by
-
Department of Veterans Affairs
About this file
This is an ADA Certification form (Exhibit K) that requires lessor certification regarding handicapped accessibility requirements for a VA Vet Center lease in Gardena. The form contains two main sections: a handicapped accessibility certification where the lessor must indicate whether all accessibility requirements in the Solicitation for Offers will be met, and a lessor/payee declaration section.
The form requires detailed contact information for both the lessor and payee, including name, address, city/state, zip code, phone, fax, and email. It must be signed by the offer's signature (owner or agent) with company name and date. The bottom of the form includes spaces for initials from both the lessor and government. This form is part of solicitation #36C24W25R0049 for a 10-year succeeding lease for the LA Vet Center in Gardena.
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Text version
ADA CERTIFICATION
1. HANDICAPPED ACCESSIBILITY:
By submission of this offer, the lessor certifies that all requirements set forth in the Solicitation for Offers will be met unless otherwise stated.
____ All sections will be met _____ All sections not be met (please specify below)
2. LESSOR/ PAYEE DECLARATION
In the event the offer being submitted herein is the successful offer, the Lessor/Payee name and address to be reflected on the resultant Lease Contract would be as follows:
LESSOR PAYEE
Name:
Address: _________________________________ _________________________________
City/State _________________________________ _________________________________
Zip: _________________________________ _________________________________
Phone: _________________________________ _________________________________
Fax: _________________________________ _________________________________
Email: _________________________________ _________________________________
OFFER’S SIGNATURE (Owner or Agent) Date
Name of Company: ________________________________________________________
EXHIBIT K
vhalonlestik Typewritten Text
INITIALS: ____________ & ____________
LESSOR GOVERNMENT
File details come from the government source that posted it. Updated .